Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 46TR00065100 | NJ |
NPI | 1992998769 |
---|---|
Provider Name | Rebecca A Cozza |
First Address | Toms River, NJ 08755-1237 |
Second Address | Toms River, NJ 08755-1237 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2007 |
Last Update Date | 24/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1032307 | NBCOT (01) | |
46TR00065100 | NJ STATE LICENSE (01) | NJ |